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https://www.readbyqxmd.com/read/27865899/a-systematic-review-finds-limited-data-on-measurement-properties-of-instruments-measuring-outcomes-in-adult-intensive-care-unit-survivors
#1
Karen A Robinson, Wesley E Davis, Victor D Dinglas, Pedro A Mendez-Tellez, Anahita Rabiee, Vineeth Sukrithan, Ramakrishna Yalamanchilli, Alison E Turnbull, Dale M Needham
BACKGROUND AND OBJECTIVE: There is a growing number of studies evaluating the physical, cognitive, mental health and health-related quality of life (QOL) outcomes of adults surviving critical illness. However, there is little consensus on the most appropriate instruments to measure these outcomes. To inform the development of such consensus, we conducted a systematic review of the performance characteristics of instruments measuring physical, cognitive, mental health and HRQOL outcomes in adult intensive care unit (ICU) survivors...
November 16, 2016: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/27858818/promoting-sleep-to-improve-delirium-in-the-icu
#2
Biren B Kamdar, Jennifer L Martin, Dale M Needham, Michael K Ong
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27796253/anxiety-symptoms-in-survivors-of-critical-illness-a-systematic-review-and-meta-analysis
#3
REVIEW
Sina Nikayin, Anahita Rabiee, Mohamed D Hashem, Minxuan Huang, O Joseph Bienvenu, Alison E Turnbull, Dale M Needham
OBJECTIVES: To evaluate the epidemiology of and postintensive care unit (ICU) interventions for anxiety symptoms after critical illness. METHODS: We searched five databases (1970-2015) to identify studies assessing anxiety symptoms in adult ICU survivors. Data from studies using the most common assessment instrument were meta-analyzed. RESULTS: We identified 27 studies (2880 patients) among 27,334 citations. The Hospital Anxiety and Depression Scale-Anxiety (HADS-A) subscale was the most common instrument (81% of studies)...
November 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/27782830/patient-outcomes-after-critical-illness-a-systematic-review-of-qualitative-studies-following-hospital-discharge
#4
Mohamed D Hashem, Aparna Nallagangula, Swaroopa Nalamalapu, Krishidhar Nunna, Utkarsh Nausran, Karen A Robinson, Victor D Dinglas, Dale M Needham, Michelle N Eakin
BACKGROUND: There is growing interest in patient outcomes following critical illness, with an increasing number and different types of studies conducted, and a need for synthesis of existing findings to help inform the field. For this purpose we conducted a systematic review of qualitative studies evaluating patient outcomes after hospital discharge for survivors of critical illness. METHODS: We searched the PubMed, EMBASE, CINAHL, PsycINFO, and CENTRAL databases from inception to June 2015...
October 26, 2016: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/27758965/core-domains-in-evaluating-patient-outcomes-after-acute-respiratory-failure-international-multidisciplinary-clinician-consultation
#5
Carol L Hodgson, Alison E Turnbull, Theodore J Iwashyna, Ann Parker, Wesley Davis, Clifton O Bingham, Nicola R Watts, Simon Finfer, Dale M Needham
BACKGROUND: There is increasing interest in measuring the quality of survivorship for patients admitted to the intensive care (ICU) for acute respiratory failure (ARF). However, there is substantial variability in the patient outcomes reported in studies evaluating these patients, with few data on which outcomes are essential to inform clinical practice. PURPOSE: To determine clinicians' perspectives on the outcome domains that should always be reported in studies evaluating ARF survivors after hospital discharge, and to compare findings between the US and Australian perspectives...
October 6, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27748659/healthcare-resource-use-and-costs-in-long-term-survivors-of-acute-respiratory-distress-syndrome-a-5-year-longitudinal-cohort-study
#6
A Parker Ruhl, Minxuan Huang, Elizabeth Colantuoni, Robert K Lord, Victor D Dinglas, Alexandra Chong, Kristin A Sepulveda, Pedro A Mendez-Tellez, Carl B Shanholtz, Donald M Steinwachs, Peter J Pronovost, Dale M Needham
OBJECTIVE: To evaluate the time-varying relationship of annual physical, psychiatric, and quality of life status with subsequent inpatient healthcare resource use and estimated costs. DESIGN: Five-year longitudinal cohort study. SETTING: Thirteen ICUs at four teaching hospitals. PATIENTS: One hundred thirty-eight patients surviving greater than or equal to 2 years after acute respiratory distress syndrome. INTERVENTIONS: None...
September 29, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27661864/point-prevalence-study-of-mobilization-practices-for-acute-respiratory-failure-patients-in-the-united-states
#7
Sarah Elizabeth Jolley, Marc Moss, Dale M Needham, Ellen Caldwell, Peter E Morris, Russell R Miller, Nancy Ringwood, Megan Anders, Karen K Koo, Stephanie E Gundel, Selina M Parry, Catherine L Hough
OBJECTIVE: Early mobility in mechanically ventilated patients is safe, feasible, and may improve functional outcomes. We sought to determine the prevalence and character of mobility for ICU patients with acute respiratory failure in U.S. ICUs. DESIGN: Two-day cross-sectional point prevalence study. SETTING: Forty-two ICUs across 17 Acute Respiratory Distress Syndrome Network hospitals. PATIENTS: Adult patients (≥ 18 yr old) with acute respiratory failure requiring mechanical ventilation...
September 22, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27638969/distribution-based-estimates-of-minimal-important-difference-for-hospital-anxiety-and-depression-scale-and-impact-of-event-scale-revised-in-survivors-of-acute-respiratory-failure
#8
Kitty S Chan, Lisa Aronson Friedman, O Joseph Bienvenu, Victor D Dinglas, Brian H Cuthbertson, Richard Porter, Christina Jones, Ramona O Hopkins, Dale M Needham
OBJECTIVE: This study will estimate distribution-based minimal important difference (MID) for the Hospital Anxiety and Depression Scale anxiety (HADS-A) and depression (HADS-D) subscales, and the Impact of Event Scale-Revised (IES-R) in survivors of acute respiratory failure (ARF). METHODS: Secondary analyses of data from two US and three UK studies of ARF survivors (total N=1223). HADS-D and HADS-A were used to assess depression and anxiety symptoms. IES-R assessed post-traumatic stress disorder symptoms...
September 2016: General Hospital Psychiatry
https://www.readbyqxmd.com/read/27637716/physical-declines-occurring-after-hospital-discharge-in-ards-survivors-a-5-year-longitudinal-study
#9
Elizabeth R Pfoh, Amy W Wozniak, Elizabeth Colantuoni, Victor D Dinglas, Pedro A Mendez-Tellez, Carl Shanholtz, Nancy D Ciesla, Peter J Pronovost, Dale M Needham
PURPOSE: Survivors of acute respiratory distress syndrome (ARDS) are at high risk for new or ongoing physical declines after hospital discharge. The objective of our study was to evaluate the epidemiology of physical declines over 5-year follow-up and identify patients at risk for decline. METHODS: This multi-site prospective cohort study evaluated ARDS survivors who completed a physical status assessment at 3 or 6 months post-discharge. Three measures were evaluated: muscle strength (Medical Resource Council sumscore); exercise capacity [6-min walk test (6MWT)]; physical functioning [36-Item Short Form Health Survey (SF-36 survey)]...
October 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27593494/aligning-critical-care-interventions-with-patient-goals-a-modified-delphi-study
#10
Alison E Turnbull, Sarina K Sahetya, Dale M Needham
OBJECTIVE: To develop a list of non-emergent, potentially harmful interventions commonly performed in ICUs that require a clear understanding of patients' treatment goals. BACKGROUND: A 2016 policy statement from the American Thoracic Society and American College of Critical Care Medicine calls on intensivists to engage in shared decision-making when "making major treatment decisions that may be affected by personal values, goals, and preferences." METHODS: A three-round modified Delphi consensus process was conducted via a panel of 6 critical care physicians, 6 ICU nurses, 6 former ICU patients, and 6 family members from 6 academic and community-based medical institutions in the U...
November 2016: Heart & Lung: the Journal of Critical Care
https://www.readbyqxmd.com/read/27562244/ten-reasons-why-icu-patients-should-be-mobilized-early
#11
Linda Denehy, Julie Lanphere, Dale M Needham
No abstract text is available yet for this article.
August 25, 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27488220/functional-status-score-for-the-icu-an-international-clinimetric-analysis-of-validity-responsiveness-and-minimal-important-difference
#12
Minxuan Huang, Kitty S Chan, Jennifer M Zanni, Selina M Parry, Saint-Clair G B Neto, Jose A A Neto, Vinicius Z M da Silva, Michelle E Kho, Dale M Needham
OBJECTIVES: To evaluate the internal consistency, validity, responsiveness, and minimal important difference of the Functional Status Score for the ICU, a physical function measure designed for the ICU. DESIGN: Clinimetric analysis. SETTINGS: Five international datasets from the United States, Australia, and Brazil. PATIENTS: Eight hundred nineteen ICU patients. INTERVENTION: None. MEASUREMENTS AND MAIN RESULTS: Clinimetric analyses were initially conducted separately for each data source and time point to examine generalizability of findings, with pooled analyses performed thereafter to increase power of analyses...
August 3, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27440140/predictors-of-6-month-health-utility-outcomes-in-survivors-of-acute-respiratory-distress-syndrome
#13
Samuel M Brown, Emily Wilson, Angela P Presson, Chong Zhang, Victor D Dinglas, Tom Greene, Ramona O Hopkins, Dale M Needham
BACKGROUND: With improving short-term mortality in acute respiratory distress syndrome (ARDS), understanding and improving quality of life (QOL) outcomes in ARDS survivors is a clinical and research priority. We sought to identify variables associated with QOL, as measured by the EQ-5D health utility score, after ARDS using contemporary data science methods. METHODS: Analysis of prospectively acquired baseline variables and 6-month EQ-5D health utility scores for adults with ARDS enrolled in the ARDS Network Long-Term Outcomes Study (ALTOS)...
July 20, 2016: Thorax
https://www.readbyqxmd.com/read/27309180/patient-recruitment-rate-in-multicentered-randomized-trials-in-critical-care
#14
Swaroopa R Nalamalapu, Dale M Needham, Renee D Stapleton
No abstract text is available yet for this article.
July 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27294981/intensivist-reported-facilitators-and-barriers-to-discussing-post-discharge-outcomes-with-intensive-care-unit-surrogates-a-qualitative-study
#15
Alison E Turnbull, Wesley E Davis, Dale M Needham, Douglas B White, Michelle N Eakin
RATIONALE: Intensive care unit (ICU) patients' expected post-discharge outcomes are rarely discussed in family meetings despite this information being centrally important to patients and their families. OBJECTIVES: To characterize intensivist-identified barriers and facilitators to discussing post-discharge outcomes with surrogates of ICU patients. METHODS: Qualitative study conducted via one-on-one, semistructured telephone interviews with 23 intensivists from 20 hospitals with accreditation council for graduate medical education-accredited critical care medicine programs in 16 states...
September 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27292947/an-evaluation-of-learning-clinical-decision-making-for-early-rehabilitation-in-the-icu-via-interactive-education-with-audience-response-system
#16
Amy L Toonstra, Archana Nelliot, Lisa Aronson Friedman, Jennifer M Zanni, Carol Hodgson, Dale M Needham
PURPOSE: Knowledge-related barriers to safely implement early rehabilitation programs in intensive care units (ICUs) may be overcome via targeted education. The purpose of this study was to evaluate the effectiveness of an interactive educational session on short-term knowledge of clinical decision-making for safe rehabilitation of patients in ICUs. METHOD: A case-based teaching approach, drawing from published safety recommendations for initiation of rehabilitation in ICUs, was used with a multidisciplinary audience...
June 13, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27264776/statistical-methods-for-evaluating-delirium-in-the-icu
#17
Elizabeth Colantuoni, Victor D Dinglas, E Wesley Ely, Ramona O Hopkins, Dale M Needham
No abstract text is available yet for this article.
July 2016: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/27153046/depressive-symptoms-after-critical-illness-a-systematic-review-and-meta-analysis
#18
Anahita Rabiee, Sina Nikayin, Mohamed D Hashem, Minxuan Huang, Victor D Dinglas, O Joseph Bienvenu, Alison E Turnbull, Dale M Needham
OBJECTIVES: To synthesize data on prevalence, natural history, risk factors, and post-ICU interventions for depressive symptoms in ICU survivors. DATA SOURCES: PubMed, EMBASE, Cumulative Index of Nursing and Allied Health Literature, PsycINFO, and Cochrane Controlled Trials Registry (1970-2015). STUDY SELECTION: Studies measuring depression after hospital discharge using a validated instrument in more than 20 adults from non-specialty ICUs...
September 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27144796/barriers-and-strategies-for-early-mobilization-of-patients-in-intensive-care-units
#19
Rolf Dubb, Peter Nydahl, Carsten Hermes, Norbert Schwabbauer, Amy Toonstra, Ann M Parker, Arnold Kaltwasser, Dale M Needham
Early mobilization of patients in the intensive care unit (ICU) is safe, feasible, and beneficial. However, implementation of early mobility as part of routine clinical care can be challenging. The objective of this review is to identify barriers to early mobilization and discuss strategies to overcome such barriers. Based on a literature search, we synthesize data from 40 studies reporting 28 unique barriers to early mobility, of which 14 (50%) were patient-related, 5 (18%) structural, 5 (18%) ICU cultural, and 4 (14%) process-related barriers...
May 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27111262/the-sf-36-offers-a-strong-measure-of-mental-health-symptoms-in-survivors-of-acute-respiratory-failure-a-tri-national-analysis
#20
Elizabeth R Pfoh, Kitty S Chan, Victor D Dinglas, Brian H Cuthbertson, Doug Elliott, Richard Porter, O Joseph Bienvenu, Ramona O Hopkins, Dale M Needham
RATIONALE: Survivors of acute respiratory failure commonly experience long-term psychological sequelae and impaired quality of life. For researchers interested in general mental health, using multiple condition-specific instruments may be unnecessary and inefficient when using the Medical Outcomes Study Short Form (SF)-36, a recommended outcome measure, may suffice. However, relationships between the SF-36 scores and commonly used measures of psychological symptoms in acute survivors of respiratory failure are unknown...
August 2016: Annals of the American Thoracic Society
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